YourStory International · Returning Advocate Application

Name

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First Name

Last Name

Email

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Verify Email

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Phone

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Are you willing to be flexible with your preferred trip selection above?

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Which of our program areas are you interested in?

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Select all that apply

Public Health

Clinic Operations

Community development

Family empowerment

Engineering and infrastructure.

Since your last trip, have you been convicted of a crime or been subject to any institutional action?

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Yes

No

If so, please explain:

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Since your last trip, have your medical or dietary needs changed?

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Yes

No

If so, please explain:

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Is there anything that has not already been addressed, that you would like addressed or corrected for your next trip?

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Why would you like to come on a second trip with YSI?

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Is there an advanced project or individual/group thesis you would like to propose for your next trip?

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Is there anything else you would like to tell us?

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What can we do to make your next experience with YSI more enjoyable?

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